Carlos Enrique Montiel Hurtado, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD60002202 Issued in WA

Practice address

2075 Barkley Blvd
#105
Bellingham, WA 98226-6614

Phone

(360) 671-3345

Fax

(360) 650-1354

NPI assigned

Jun 14, 2007

Last updated

Jul 13, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in WA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Family Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Upper Skagit Indian TribeGroup PAC ID 2264501535, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Peacehealth United General Medical Center Hospital, Sedro Woolley, WA, CCN 501329

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Upper Skagit Indian Tribe

  • Federally Qualified Health Center (FQHC)
  • Sedro Woolley, WA
  • NPI 1336129295

  TX

  Medicare reassignment Care Compare group NPD
• Grant Co Public Hospital District 3

  dba Columbia Basin Family Medicine Clinic

  • Rural Health Clinic/Center
  • Ephrata, WA
  • NPI 1457414799
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Peacehealth

  dba PeaceHealth United General Medical Center

  • Critical Access Hospital
  • Sedro Woolley, WA
  • NPI 1144664954
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468368000000",
    "number": "1962606541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W ORCHARD DR STE 4",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982251766",
            "telephone_number": "360-318-8800",
            "fax_number": "360-318-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2075 BARKLEY BLVD",
            "address_2": "#105",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982266614",
            "telephone_number": "360-671-3345",
            "fax_number": "360-650-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTIEL HURTADO",
        "first_name": "CARLOS",
        "middle_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2016-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD60002202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 2795270824-COMMERCIAL NUMBER",
            "identifier": "2795270824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "238292",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0275784",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA  DSHS",
            "identifier": "8685901",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Montague, OTR/L
• Barbara Montfort
• Jill Marie Montgomery, LMP
• Jo Anne Montgomery, ARNP
• Rosemary Montgomery
• Kaitlynn Ruth Moody
• Lisa Marie Moody, MASS.MA.61140953
• Thomas F Mooney, LMT
• Andrew Moore, PHARMD
• Brittany Moore

• Family Medicine Physician in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Family Medicine Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.